Provider Demographics
NPI:1790702702
Name:HIGHLANDS RANCH FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:HIGHLANDS RANCH FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:F
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-344-0139
Mailing Address - Street 1:3464 S WILLOW ST
Mailing Address - Street 2:SUITE 378
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4531
Mailing Address - Country:US
Mailing Address - Phone:303-755-2900
Mailing Address - Fax:303-755-0404
Practice Address - Street 1:9088 RIDGELINE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2383
Practice Address - Country:US
Practice Address - Phone:720-344-0139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO24881741Medicaid
COHI672933OtherBLUE SHIELD
CO24881741Medicaid